Physical Fatigue, Compassion Fatigue, and Quiet Quitting in Physiotherapists

Overview

Physiotherapists are exposed to both physical and emotional demands due to the nature of their profession. Repetitive physical workload, prolonged standing, patient handling, and continuous interaction with patients may contribute to physical fatigue and compassion fatigue. These factors may negatively affect work engagement and lead to a phenomenon known as quiet quitting, which refers to reduced psychological involvement in work without formally leaving the job. The aim of this study is to examine levels of physical fatigue and compassion fatigue among physiotherapists working in Türkiye and to investigate their association with quiet quitting tendencies. This observational, cross-sectional study will include physiotherapists actively working in public or private healthcare settings. Data will be collected using validated self-report questionnaires administered online and face-to-face. Understanding the relationship between occupational fatigue and quiet quitting may help inform strategies to improve well-being, job satisfaction, and sustainability in the physiotherapy workforce.

Physiotherapists perform physically demanding tasks such as repetitive movements, patient transfers, and prolonged standing, while also managing emotional demands related to continuous patient care. These occupational stressors may lead to physical fatigue and compassion fatigue, which can negatively influence professional engagement and work sustainability. In recent years, the concept of quiet quitting has emerged to describe a reduction in psychological commitment to work while remaining formally employed. However, limited evidence exists regarding the relationship between occupational fatigue and quiet quitting among physiotherapists. This study is designed as an observational, cross-sectional investigation aiming to evaluate physical fatigue, compassion fatigue, and quiet quitting tendencies among physiotherapists working in Türkiye. Eligible participants will be physiotherapists who have graduated from a Physiotherapy and Rehabilitation undergraduate program and are actively working in public or private healthcare institutions. Participation will be voluntary, and informed consent will be obtained electronically prior to data collection. Data will be collected through face-to-face interviews and online platforms, including electronic survey tools and professional communication channels. Participants will complete a demographic and occupational information form followed by validated measurement instruments assessing compassion fatigue, physical fatigue, work-related musculoskeletal discomfort, and quiet quitting attitudes. Statistical analyses will be conducted using appropriate descriptive and inferential methods. Relationships between variables will be examined using correlation analyses, and the predictive effects of physical fatigue and compassion fatigue on quiet quitting tendencies will be evaluated using multiple regression analysis. The findings of this study are expected to contribute to a better understanding of occupational well-being among physiotherapists and to provide evidence to support strategies aimed at improving working conditions and professional sustainability in rehabilitation services.